This blog is totally independent, unpaid and has only three major objectives.
The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide.
The second is to provide commentary on e-Health in Australia and to foster improvement where I can.
The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.

Thursday, August 27, 2015

2016 Budget -Parliament Gone Again and The World Economy Teetering On The Edge Apparently.

August 27 Edition

The big news this week that will have a serious budget impact is that last week and into at least early this week we have had GFC like drops in Global Share Markets. This is not good for the Budget or our super accounts! It may be Mr Hockey has a real problem to

Budget Night was May 12, 2015. We now await economic andactivity data reporting to see how successful it was. Interestingly there are some early indications the small-business stimuli might be working. Certainly JB HiFi and Harvey Norman seem to have been doing well recently.

Parliament came back on 10th August and has now gone away for a few weeks so calm has returned! They all come back Sept 7 for another 2 weeks followed by another 2 weeks in October if I read the calendar right

Well at least Spring is just around the corner - you can tell as the birds are waking up earlier each day and the daily top temps seem to be slowly rising!

This article gives the background to the last day or so on the market:

Wall Street tumbles 3%

Both the blue-chip index and the S&P 500 posted their biggest one-day percentage drops since November 2011, with the Dow closing 10 per cent below its recent high. US oil prices also briefly dropped below $US40 ($A54.53) a barrel on Friday, a level not seen since the financial crisis.

Signs of a sharp slowdown in the world's second-largest economy have unnerved investors since Beijing surprised markets last week by devaluing its currency. Shares in the US, Asia and Europe have tumbled, along with commodity prices as investors fretted about waning Chinese demand just as supplies are surging.

The Dow Jones Industrial Average declined 531 points, or 3.1 per cent, to close 16459.75. The S&P 500 dropped about 3.2 per cent to 1970.89. The Nasdaq Composite shed 3.5 per cent to 4706.04.

The last time the S&P 500 and Dow were in correction territory was April 29, 2011, to October 3, 2011, when they fell 19 per cent and 17 per cent, respectively.

Glenn Stevens is entering his final 12 months as Australia's central bank governor and he has a message for the political class: You're holding us back.

Frustrated by a lack of political consensus on reform and approaching the limits of what he can achieve with interest rates, Stevens and his deputies are taking to the soapbox to press for a new narrative on economic change.

Greater competition, improved infrastructure and a reform strategy that Australians can understand and support are just some of the changes the Reserve Bank of Australia has called for as it tries to stem a slide in the economy's potential growth. The commentary is a departure for the central bank, which is usually reticent about entering policy debates beyond its remit.

The central bank chief in June lamented a lack of productivity-enhancing infrastructure under construction in Australia and noted that funding wasn't the obstacle. "The impediments are in our decision-making processes and, it seems, in our inability to find political agreement," Stevens said.

Reporter for The Canberra Times

Public servants "make up" official reasons not to do things and it's time it stopped, according to the most powerful woman in the Commonwealth bureaucracy.

Finance Department boss Jane Halton says she is on a mission to rid the Australian Public Service of red tape, both real and imaginary.

Spruiking the Abbott government's public service reform agenda on Friday, Ms Halton said much of the red tape that stifles decision-making in the Commonwealth government is dreamt up by bureaucrats rather than imposed upon them.

She also says that efficiency reviews and red-tape crackdowns, "smaller government" initiatives so far in the Abbott government's tenure had achieved savings of more than $1.6 billion.

Treasurer Joe Hockey has revealed his office is “doing the numbers” to revise the federal government’s G20 growth plan, as many of the policy measures included in the original plan have either been dropped or remain stalled in parliament.

Hockey will next month report on Australia’s progress in implementing its plan at a meeting of G20 finance ministers in Turkey in September.

At the G20 Summit in Brisbane in November last year, Prime Minister Tony Abbott unveiled his government’s plan to contribute to a target to collectively grow the global economy by 2.1% by 2018, as did all other G20 member countries.

VICTORIA’S healthcare system is set to undergo a major ­revamp in an attempt to reduce unnecessary hospital visits and manage chronic illness more ­effectively.

Health Minister Jill Hennessy will announce the new Better Care Victoria today, a program expected to revolutionise the system.

Most of the Government’s plan remains a secret, but the Herald Sun ­understands it will increase health system capacity based on evidence-based research and improved interaction between healthcare units.

According to Ms Hennessy, there were about 60,000 avoidable admissions to Victorian hospitals last financial year, which could balloon to 80,000 in 2025.

Health Minister Sussan Ley and the head of her Medicare review taskforce, Bruce Robinson, are warning stakeholders that Australians will ultimately suffer if the Abbott government cannot overhaul primary care.

In a speech to a Consumers Health Forum function in Can­berra today, Ms Ley will promise a consultative approach to the Medicare review, and a separate primary care review, to ensure support for the recommendations to be put to government within months. She will also warn that although not every interest group will be satisfied, “there are real risks to standing still as a nation on these necessary reforms”.

“The Australian government is prepared to make difficult decisions, and will be listening to and working with state and territory governments, health professionals, the community and ­patients as part of the broad process of change to build the best health system we possibly can,” Ms Ley will tell the function.

The Abbott government will cut a swath through what it has called Labor’s health bureau­cracy, abolishing two agencies and gutting another amid talks aimed at making the system more sustainable.

The National Health Performance Authority will be abolished on July 1 next year and its functions transferred to the Australian Commission for Safety and Quality in Health Care and the Australian Institute of Health and Welfare.

At the same time, the Department of Health will take over the work of the Independent Hos­pit­al Pricing Authority, which ushered­ in activity-based funding and the move to efficient pricing, leaving the agency with just a board and chief executive.

ONE thousand fewer babies will be born every year and there will be increased sets of twins, triplets and more if the government pushes ahead with it’s plans to change the Medicare safety net.

One of Australia’s leading fertility specialists has issued the dire warning and urged the government to rethink its plans for the safety net saying it will result in higher costs for reproductive treatments such as In-Vitro Fertilisation (IVF).

Mark Bowman, medical director of Genea fertility and president of the Fertility Society of Australia said if out-of-pocket costs for IVF went up, fewer people would be able to afford the treatment or be placed on extraordinarily long waiting lists to access public or no-cost services. For those that could afford IVF, more patients would push to have more than one embryo inserted to “get their money’s worth”, Associate Professor Bowman said.

Peter Breadon and Stephen Duckett from the Grattan Institute write: For decades, clinicians and researchers have been concerned about patients getting treatments, including operations, that don’t work. As well as failing to treat the original health problem, ineffective care exposes patients to complications and side-effects and waste [...] precious health-care resources.

Yet while many clinicians believe there is a problem, the policy response has been limited. It is often hard to isolate treatment choices that are inappropriate. A choice that is wrong in one case may be right in another.

To avoid ineffective treatments, we need a new way to identify and reduce questionable care. A new Grattan Institute report shows how to do it.

NURSES and doctors at Perth’s new Fiona Stanley Hospital are banging their heads against walls every day because of ongoing frustration with private contractor Serco, the AMA says.

Ian Jenkins from the Australian Medical Association of Western Australia told reporters outside an inquiry into the hospital’s services on Wednesday that Serco had employed people at short notice, many of whom had little or no medical experience.

Dr Jenkins said the “political decision” to privatise “non-clinical” roles at Fiona Stanley was causing issues because no such jobs existed in a hospital.

The Australian Medical Association has delivered a devastating critique on the leadership and problems at Perth's Fiona Stanley Hospital, saying quality patient care is only being sustained because of the professionalism of frontline clinical staff.

Ian Jenkins gave evidence to a parliamentary inquiry into the transition and operations of clinical service at Fiona Stanley, speaking as the chair of the AMA's inter-hospital liaison committee.

Dr Jenkins told the committee there were still major problems at the new hospital, opened earlier this year,including a severe shortage of beds as patient numbers continued to exceed projections.

"Population has grown faster than they thought. We're years behind. Fiona Stanley was meant to be this size in 2011," he said.

Australian Medical Association president Brian Owler has called on federal Health Minister Sussan Ley to enter the heated contract dispute between Medibank Private and Calvary hospitals.

Mr Owler said the government had to act because the fight over what the insurer would and wouldn’t pay for threatened to become an industry-wide issue and impact on public hospitals.

“Unless the government acts, they are going to be known as the government that dismantled health insurance and destroyed the balance between the public and the private system,” Dr Owler said. “This will push more private patients into the public system and we will see more people questioning their private health insurance.”

Health and Indigenous affairs correspondent

EXCLUSIVE

Private insurance giant Medibank has been accused of using a dud list to reduce its hospital costs by Australia's health care watchdog.

Following a break down of negotiations between Calvary Health Care and the private insurance company, the Australian Commission on Safety and Quality in Health Care said that the list used by the insurer that includes 165 "highly preventable adverse events" was not appropriate.

The list of events, including if a patient falls while in hospital, had risen from 20 events and was used in negotiations with private hospitals such as Calvary Health Care. Medibank has also refused to cover if a patient has been readmitted within 28 days of discharge.

Medibank, which has 3.8 million members, was floated by the Abbott government in November for $5.7 billion. It has continually argued that the reduction of hospital costs would reduce the number of mistakes made in hospitals, rather than improve profits.

The head of St Vincent’s Health Australia yesterday backed Medibank’s calls for hospitals to ­improve standards but he also warned that playing hard ball with hospitals would damage the ­insurer in the long run.

Toby Hall weighed into the fight between Medibank and Calvary Hospital, ignited after the insurer refused to re-sign a contract with Calvary because it would not agree to a list of incidents Medibank deemed were mistakes it would no longer pay for.

Mr Hall said there was room to move on both sides of the debate.

“Errors or preventable events are rare, but when they happen, hospitals should pay for them,” he said. “Hospitals need to accept their responsibilities for improving standards.”

Doctors and other medical professionals are turning up the heat over an increasingly bitter dispute with Medibank Private over hospital insurance cover, and have also sent a warning to the federal government to not make its review of medicare benefits a cost-cutting exercise.

The Australian Medical Association hosted a meeting with 70 representatives of specialist colleges and societies in Canberra on Wednesday to discuss the two issues.

The brawl with Medibank Private concerns a move by the country's largest health insurer to cut 165 events out of its insurance cover for the Calvary Health Care group, which runs hospitals in the ACT, South Australia and Tasmania.

Australian Medical Association president Brian Owler has ramped up calls for the federal government to intervene in Medibank Private's bitter dispute with Calvary hospitals.

Thousands of privately insured ACT patients could be slugged with out-of-pocket costs for hospital care after contract negotiations between Calvary Health Care and health insurer Medibank Private broke down earlier this month.

Medibank Private stepped up its attack on the doctors union on Wednesday through a series of scathing full-page newspaper advertisements to "set the record straight" about "misinformed and misleading statements".

The doctor leading the Federal Government's attempt to modernise the MBS says his task force will have no powers to recommend new items.

On Wednesday, Professor Bruce Robinson (pictured), chair of the MBS Review Taskforce, fronted some 70 medical leaders in Canberra to explain the “top issues” it will grapple with over the next two years.

Professor Robinson, who is dean of the University of Sydney medical school, said all 5500 MBS items will be open to review, along with the rules and legislation surrounding their use.

A list of avoidable medical mistakes will be fast-tracked by the federal government in an ­attempt to resolve a bitter dispute between Medibank Private and the Calvary hospital group that threatens to engulf the health sector.

With the breakdown of contract negotiations, Health Minister Sussan Ley last night warned of a “game of thrones” situation in which major stakeholders waged war at the expense of ­patients.

Medibank, the nation’s largest insurer, which yesterday posted an increased profit since privatisation, will formally end its contract with the Calvary group of hosp­itals in southern states on August 31. It follows the failure of negotiations and mediations, ostensibly over Calvary’s payment demands and refusal to forgo payment for a list of preventable errors and poor results put forward by Medibank.

HEALTH Minister Sussan Ley has finally weighed in on the dispute between Medibank and hospital operator Calvary, warning the parties not to use patients as ransom in a cynical "Game of Thrones".

MS Ley on Saturday hit out at the "grandstanding" by the warring parties, who are at loggerheads after Medibank said it wanted to reduce or remove benefits to hospitals for a list of 165 events it says are "highly preventable".

1 comment:

"Public servants "make up" official reasons not to do things and it's time it stopped, according to the most powerful woman in the Commonwealth bureaucracy.

Finance Department boss Jane Halton says she is on a mission to rid the Australian Public Service of red tape, both real and imaginary.

Spruiking the Abbott government's public service reform agenda on Friday, Ms Halton said much of the red tape that stifles decision-making in the Commonwealth government is dreamt up by bureaucrats rather than imposed upon them."

I can't make up my mind which word best describes the Professor: sycophant or hypocrite.